Individual
DR. HENRY DANIEL SWOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 W CONGRESS PKWY, SUITE 108 KELOGG, CHICAGO, IL 60612
(312) 942-4978
Mailing address
1750 W CONGRESS PKWY, SUITE 108 KELOGG, CHICAGO, IL 60612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.135099
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
036.135099
IL
Other
Enumeration date
06/22/2010
Last updated
10/05/2017
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